| Corner Clinic St George Llc | |
|
2351 S River Rd Unit 5 St George UT 84790-8280 | |
| (435) 659-7352 | |
| Not Available |
| Full Name | Corner Clinic St George Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2351 S River Rd Unit 5, St George, Utah |
| Authorized Official Name and Position | Shane Whittier (COO) |
| Authorized Official Contact | 4357098786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corner Clinic St George Llc 2351 S River Rd Unit 5 St George UT 84790-8280 Ph: (435) 659-7352 | Corner Clinic St George Llc 2351 S River Rd Unit 5 St George UT 84790-8280 Ph: (435) 659-7352 |
| NPI Number | 1629568209 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 08/05/2022 |
| Medicare PECOS PAC ID | 6406241835 |
|---|---|
| Medicare Enrollment ID | O20220321002050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629568209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kami S Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801438684 PECOS PAC ID: 0941634802 Enrollment ID: I20191231000656 |
| Provider Name | Ann Marie Ahee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417575564 PECOS PAC ID: 7810080876 Enrollment ID: I20200810003512 |
| Provider Name | Megan Marie Western |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568077584 PECOS PAC ID: 4688080245 Enrollment ID: I20210304002474 |
| Provider Name | Ralph C Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447916499 PECOS PAC ID: 7214314061 Enrollment ID: I20220516002983 |
| Provider Name | Kylee Mecham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336801828 PECOS PAC ID: 2860870417 Enrollment ID: I20220609002584 |
| Provider Name | Joy Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114590296 PECOS PAC ID: 9436526415 Enrollment ID: I20221103002033 |
| Provider Name | Murlan E Grise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811951148 PECOS PAC ID: 2365576428 Enrollment ID: I20230703002500 |
| Provider Name | Roberta Bostian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972275501 PECOS PAC ID: 4385037514 Enrollment ID: I20230807003019 |
| Provider Name | Ezra Tyson Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689376352 PECOS PAC ID: 7618325663 Enrollment ID: I20231130003319 |
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Concierge Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 S River Rd Ste B101, St George, UT 84790 Phone: 435-236-0835 | |
William T Graff Md Faafp Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 S 400 E Ste 101, St George, UT 84770 Phone: 435-673-9653 | |
Amara Health And Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 558 E Riverside Dr, Ste 200, St George, UT 84790 Phone: 435-652-9355 | |
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